Agenda

Return

C. 47

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	October 18, 2022

Contra

Costa

County

Subject:

Contract #74–322–24 with Youth Homes Incorporated

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/18/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Suzanne Tavano, Ph.D., 925-957-5212
cc:	E Suisala M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: October 18, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Novation Contract #74–322–24 with Youth Homes Incorporated, a non-profit corporation, in an amount not to exceed $4,851,636, to provide residential treatment and Therapeutic Behavioral Services (TBS) to children who are Seriously Emotionally Disturbed (SED), for the period from July 1, 2022 through June 30, 2023, which includes a six-month automatic extension through December 31, 2023, in an amount not to exceed $2,425,818.

FISCAL IMPACT:

Approval of this contract will result in annual budgeted expenditures for FY 2022-2023 of up to $4,851,636 and will be funded by 50% Federal Medi-Cal ($2,425,818), 45% Mental Health Realignment Funds ($2,183,236) and 5% Measure X Funds ($242,582). (Rate increase)

BACKGROUND:

This contract meets the social needs of the County’s population by providing residential day treatment therapeutic behavioral services, including medication, support, crisis intervention and other mental health services to children who are seriously emotionally disturbed, and their families in order to keep them out of higher levels of placement. The contractor has been providing residential treatment services and TBS to SED children for the County since September 2007.

On January 18, 2022, the Board of Supervisors approved Contract #74–322–22, with Youth Homes Incorporated, in an amount not to exceed $2,205,290, for the provision of residential treatment and TBS to SED children for the period from January 1, 2022 through June 30, 2022, including a six-month automatic extension through December 31, 2022, in an amount not to exceed $2,205,290.

On February 1, 2022, the Board of Supervisors approved Amendment Agreement #74-322-23, effective January 1, 2022, to increase the per minute billing rates for the contract and automatic extension due to COVID-19 with no change in the original payment limit and original term.

Approval of Novation Contract #74-322-24 will replace the automatic extension under the prior contract and allow the contractor to continue to provide services through June 30, 2023.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, there would be fewer step-down group home options available in the County and SED children who are requiring this level of care may experience out of State placement.

CHILDREN'S IMPACT STATEMENT:

This contract supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS) and placement at discharge to a lower level of care.